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STAUFFERS DRUG STORE
CHC00495-03 Union Community Care
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Covered Entity Details
Entity Name
Union Community Care
Subdivision Name
Union Community Care at Welsh Mountain
Type
HRSA-Funded Health Center
340B ID
CHC00495-03
Entity Address
584 Springville Rd
New Holland, PA 17557-9564
Grant Number
H80CS00495
Participating Start Date
4/1/2023
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
STAUFFERS DRUG STORE
Pharmacy Address
149 E MAIN ST
NEW HOLLAND, PA 17557
Pharmacy Comments
Contract Details
Approval Date
4/17/2023
Contract Begin Date
7/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/31/2024
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Alisa Jones, CEO
(717) 945-1551
Contract Pharmacy Representative
Stauffer's Drug Store
Joshua Stauffer, CEO
(717) 355-9300
Signed By Date
4/17/2023
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